Samantha Clark, LCSW in Dade City, FL - Medicare Clinical Social Worker Provider

Samantha Clark, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Dade City, Florida. She went to University Of South Florida College Of Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Baycare Behavioral Health Inc and her current practice location is 14527 7th St, Dade City, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 521-1474.

Samantha Clark is licensed to practice in Florida (license number SW18383) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215505706.

Contact Information

	Samantha Clark, LCSW
	14527 7th St, Dade City, FL 33523-3102
	(727) 521-1474
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Clark
Gender	Female
Speciality	Clinical Social Worker
Experience	8 Years
Location	14527 7th St, Dade City, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samantha Clark attended and graduated from University Of South Florida College Of Medicine in 2018

NPI Data:

NPI Number: 1215505706
Provider Enumeration Date: 06/11/2021
Last Update Date: 03/05/2026

Medicare PECOS Information:

PECOS PAC ID: 4385085380
Enrollment ID: I20240508001777

Medical Identifiers

Medical identifiers for Samantha Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215505706	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW18383 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baycare Behavioral Health Inc	4688649122	48

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samantha Clark allows following entities to bill medicare on her behalf.

Entity Name	Baycare Behavioral Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225312549 PECOS PAC ID: 4688649122 Enrollment ID: O20040830000131

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Samantha Clark, LCSW 2995 Drew St Fl 2, Clearwater, FL 33759-3012 Ph: (727) 532-0002	Samantha Clark, LCSW 14527 7th St, Dade City, FL 33523-3102 Ph: (727) 521-1474

Reviews and Comments

Social Worker in Dade City, FL

Mr. Daryl D Bozone, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 13220 Scharber Rd, Dade City, FL 33525 Phone: 352-588-5135 Fax: 352-588-5135
Ms. Diane Scotland-coogan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12709 Ridgeview Ct, Dade City, FL 33525 Phone: 352-238-6126
Stefanie Baptiste, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 38052 Meridian Ave, Dade City, FL 33525 Phone: 352-518-5232
Amanda Vega, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14445 7th St, Dade City, FL 33523 Phone: 352-518-5232
Mia Perez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 38052 Meridian Ave, Dade City, FL 33525 Phone: 352-518-5232
Jessica Brantmeier, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 14527 7th St, Dade City, FL 33523 Phone: 352-521-1474

Samantha Clark, LCSW - Medicare Clinical Social Worker in Dade City, FL